Information
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Division
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Store Name and Number
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Location
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Conducted on
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Prepared by
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Consulted with
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Manager on duty signature
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Liquor legal compliance survey March 2014 Version 1
Tobacco
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Is sale of tobacco to minors signage on display?
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Is health warning signage on display? Smoking kills quitline 137848
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Is "no proof no purchase " signage on display
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Is tobacco price board warning sign on display - one of 9 types available
Liquor license
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Is the liquor license for premises on display?
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Does the licence show the current managers name ?
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Is the "Intoxicated , drunk or disorderly poster" on display?
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Is the "Under 18 - no supply " poster on display?
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Is the " Supply to minors" poster on display ?
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Is the " Under 18 no entry " poster on display?
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Is the "Direct line phone number" poster on display?
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Is store displaying " Don't buy it for them " point of sale displayed around store / department?
ID 25
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Check RSA incident book , have daily ID 25 been carried out?
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Is ID25 signage on display?
RSA folder
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Are recent incidents being recorded in RSA book?<br>
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Are theft incidents being reported to police?
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Are all RSA certificates up to date ?
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Certificates should be in same order as summary sheet. - alphabetical is preferred
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Does store have current " red line store map " in place ?
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Are house policy's in RSA folder?
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Is "School uniform " policy in folder and are team aware of policy?
Action Plan
Action Plan
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Action 1
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Assigned to
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Due Date
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Action 2
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Assigned to
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Due Date
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Action 3
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Assigned to
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Due Date
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Action 4
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Assigned to
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Due Date
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Action 5
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Assigned to
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Due Date
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Action 6
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Assigned to
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Due Date
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Action 7
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Assigned to
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Due Date
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Action 8
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Assigned to
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Due Date
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Action 9
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Assigned to
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Due Date
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Action 10
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Assigned to
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Due Date